Evidence-based practice

Evidence-based practice

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Evidence-based practice refers to using the best available evidence for decision-making and scientifically providing efficient and effective patient care. However, it is widely known that evidence-based practice improves healthcare quality, reliability, and patient outcomes and reduces variations in care and costs. It is still not the standard of care delivered by practicing clinicians across the globe. Nurses still struggle to get evidence into practice. One of the barriers is a lack of understanding about what EBP means or time to apply and relate the evidence into practice and inadequate resources (Li et al., 2019).

According to Melnyk et al. (2014), the Adoption of specific EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world healthcare settings can assist institutions in achieving high-value, low-cost, evidence-based health care. To evolve more quickly, the EBP in nursing and system must commit to advancing in EBP and allocate resources in  Basic and graduate nursing programs must begin to teach the value and foundations of EBP if nursing is to create a culture where EBP is the “norm” and not the rarity (Melnyk, 2002). Moreover, develop Critical appraisal tools and reporting guidelines to practice registered nurses and advanced practice nurses to disseminate evidence to meet EBP competencies (Buccheri et al., 2017).

An example of a compelling clinical question that piques my interest is the latest change in our mother-baby unit for newborns. It involves antibiotics and the way of delivery of the antibiotics. For years when a mother spikes a fever within the two hours of postpartum, she is immediately given ampicillin, and Gentamycin IV piggyback. The baby is given IM Gentamycin and ampicillin for chorioamnionitis protocol for 24 hours. Recently we have switched from IM antibiotics for babies to IV antibiotics. My question is, “Do IV antibiotics have a better outcome for baby than IM?” or “Are IV antibiotics less traumatic than IM antibiotics?”





Evidence Based Practice (EBP)simply put is the solution to a problem-based in research developed by credible healthcare professionals to improve patient outcomes. Evidence-based practice as we know it consists of three principles “Integration of best available evidence, clinical expertise, and patient values and circumstances related to patient and client management, practice management, and health policy decision-making” (AAPTA, 2021). In regards to nursing, EBP has come a long way in terms of improving practice and as the nature of EBP, it will always continue to evolve as the medical field is always striving for ways to improve. For example, preventive hospital falls, the way nurses implement strategies to prevent falls differs from the way it was done 20 years ago. This was done through evidenced-based practice and medical/technological advances the way nurses know to combat this issue with an effective prevention rate. “To advance nursing science, enhance practice for future nurses, and improve patient outcomes, it is critical to teach nursing students not only the value of evidence-based knowledge, but also how to access this knowledge, appraise it, and apply it correctly as needed” (Abu-Baker, 2021). A clinical question that piques my interest is how to increase medical regimen compliance among patients who have low literacy. Hopefully, within the oncoming weeks, I will find EBP to aid in my research on this topic.


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